损伤控制式急救模式结合全面干预在海水淹溺伤伴吸入性肺损伤患者急救中的应用  

Application of injury control first-aid mode combined with comprehensive intervention in the first-aid of seawater drowning patients with inhalation lung injury

作　　者：王玉富[1] 申育琳[1] 张勇[1] 胡艳丽 王春红 陈威[2] 翟永志[2] Wang Yufu;Shen Yulin;Zhang Yong;Hu Yanli;Wang Chunhong;Chen Wei;Zhai Yongzhi

机构地区：[1]中国人民解放军北戴河康复疗养中心急诊科,066000 [2]中国人民解放军总医院(301医院)急诊科,100039

出　　处：《中国疗养医学》2021年第10期1054-1057,共4页Chinese Journal of Convalescent Medicine

基　　金：首都卫生发展科研专项资助项目(首发2018-4026-3)。

摘　　要：目的探讨损伤控制式急救模式结合全面干预在海水淹溺伤伴吸入性肺损伤患者急救中的应用效果。方法选取2008年1月至2020年12月由北戴河康复疗养中心收治的130例海水淹溺伤伴吸入性肺损伤患者作为研究对象进行研究,按照急救和护理干预方法的不同将其分为对照组和研究组,每组65例。对照组患者给予传统急救方法及常规护理干预,研究组患者则给予损伤控制式急救模式联合全面护理干预。比较两组患者的急救效果、生活质量评分和护理服务满意度等指标。结果①研究组患者急救成功率显著高于对照组,肺部并发症发生率显著低于对照组,住院时间显著短于对照组,急性肺损伤评分显著低于对照组,比较差异均有统计学意义(P<0.05)。②干预后两组患者血气分析动脉血氧分压[p(O2)]较干预前明显升高,动脉血二氧化碳分压[p(CO2)]较干预前明显降低,且研究组与对照组比较差异有统计学意义(P<0.05)。③研究组患者及家属对整体救治水平和护理干预满意度较对照组显著升高,比较差异有统计学意义(P<0.05)。④干预后两组患者圣乔治呼吸问卷(SGRQ)各维度评分及总评分较干预前均显著降低,且干预后研究组患者的评分均显著低于对照组(P<0.05)。结论损伤控制式急救模式结合全面干预能提高海水淹溺伤伴吸入性肺损伤患者急救成功率,降低肺部并发症发生率,改善患者血气状况,缩短住院时间,改善其预后和生活质量,同时提升患者对护理质量的满意度。Objective To explore the effect of injury control first-aid mode combined with comprehensive intervention in the first-aid of seawater drowning patients with inhalation lung injury.Methods A total of 130 cases of seawater drowning injury with inhalation lung injury treated in Beidaihe Rehabilitation and Recuperation Center from January 2008 to December 2020 were selected as the research subjects.According to the different methods of first aid and nursing intervention,they were divided into control group and research group,with 65 cases in each group.Patients in the control group were given traditional emergency treatment and conventional nursing intervention,while patients in the research group were given injury control emergency treatment mode combined with comprehensive nursing intervention.The first aid effect,quality of life score and nursing service satisfaction were compared between the two groups.Results①The success rate of first aid in the study group was significantly higher than that in the control group,the incidence of pulmonary complications was significantly lower than that in the control group,the length of hospital stay was significantly shorter than that in the control group,and the acute lung injury score was significantly lower than that in the control group,with statistical significance(P<0.05).②After the intervention,the blood gas analysis showed that the partial pressure of oxygen[p(O2)]in the twogroups was significantly higher than before the intervention,and the partial pressure of carbon dioxide[p(CO2)]in the two groups was significantly lower than before the intervention,and the difference between the study group and the control group was statistically significant(P<0.05).③Patients and their families in the research group were significantly more satisfied with the overall level of treatment and nursing intervention than those in the control group,and the difference was statistically significant(P<0.05).④After intervention,the scores of all dimensions and total scores of St.George

关 键 词：海水淹溺 急性肺损伤 损伤控制式急救 护理干预 

分 类 号：R459.7[医药卫生—急诊医学]